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Home My WebLink Aboutf2021-0166 - PermitsCity of Newport Beach - Building Division --:'„ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s� Job Address: 114 39TH ST NB Inspector Area: 1 Owner: SALTER JOHN 8 DIANA Address: 2278 VINEYARD HEIGHTS LN PLEASANTON CA 94566 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-4765370 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: $3,500.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: II�F II� 0 1 0�II� 6 6I II FIRE Permit: F2021-0166 Project No : 0981-2021 Inspection Requests Phone (949)644-3255 Description: NEW SFR FIRE PSRINKLERS (35 HEADS) X2020-1856 Legal Description: RIVER SECTION BLK 38 LOT 9 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004 Lic Expire: 0413012022 Bus Lic: BT30040107 Lic Exp Date: 08/3112021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Architect: Address: Phone: Engineer: Address: I S LU 1 State Lic: Phone: State Lic: Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Expire: 0412021 2 N® „^� RUSd-IJ®N NOISE Issued Date: 05/04/2021 COBrtPon . Setback- Front: Rear: Left: Right: ON �'p�@ SATU®QA T ®� FEES $217.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: $0.00 $0.00 Public Works PC Fee $0.00 Public Works Traffic Plan Check Fee; $263.00 II TOTAL FEE : $486.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: �•+ FIRE APPROVAL: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: QOAM —00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION • • oo�o•a • o oa•o• . mo••o C p 0 o . 000000 00 $6.00 $0.00 $0.00 $486.00 )INNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm"der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. 0 .... cense Class License No a ,�>/ jT_ Con for Signature VORKERS;&QJjPENSATION DECLARATION TARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 5$T.95F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirrp tWirpenalty of perjury one of the following declarations: 2•1•17ave anpAiu maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the odxr ante of the o rk for which this permit is issued. Policy No. Have and wig maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Rmce cam%r ani;I policy number are: :arriel' •„• _ Policy Number Expiration Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ,if I should biLcomesubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. iatureof ADDli r%/ -heJ./1"� �_ /4 /1 1 :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this clkor gounty toter th^e above -identified property for inspection purposes. nature of Property Owner or AuthorizgkCgent Print Property Owner's or Authorized Aq@*Q Wame ACTION DATE BY DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGUL4TIONSPART 61 OF TITLE40 AND AQMDRULE 9443. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCA.NCELLED P€RMITEXTENDED ❑ ASBESTOS N077FICA770H IS NOT APPLICABLE TO FROPOSEDDEMOLITION. PERMIT FINAL CER77FICATEOF OCCUPANCYfSSUED SIGNATURE:.